An Uncommon Mould in an Uncommon Place: A Case of Scopulariopsis brevicaulis Keratitis From the Northern Himalayas, India

, identified based on colony characteristics and microscopic morphology. Imaging further demonstrated left-sided dacryoadenitis. The patient was treated conservatively with intensive topical natamycin and voriconazole, along with systemic ketoconazole and supportive topical antibiotics. This approach led to clinical improvement, although some degree of visual impairment persisted. This case highlights the importance of maintaining a high index of suspicion, allowing prolonged incubation of fungal cultures, and initiating timely targeted antifungal therapy in rare mould keratitis to achieve favorable outcomes and potentially avoid surgical intervention.